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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Broke Tibia And Fibula, Blood Clot In Back Calf, Pain And Swelling In Foot And Calf. Time To Reduce The Blood Clot?

my husband is 40 he broke his tibia & fibula & displaced it on the 17/8/12 he has plates & screws He also has 8cm blood clot in back calf in same leg, his only just started to walk without aid but still has alot of pain & by the afternoon his ankle & foot is doubled in size. physo hav said theres no more he can do what exercises do you surgest to speed up mobility he is extremely active & we run a large company so we really want to get on top of this!!! how long can the blood clot stay for, he has been on walfrin 5mths now & hates it!! his rni is at 2.3 at the moment! some new addvise & help would be appricated! Worried wife shelly
Wed, 5 Jun 2013
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Orthopaedic Surgeon,  's  Response
Hello Shelly,
Welcome at HCM.

I can understand your concerns.

It looks from your details that your husband has deep vein thrombosis in his leg vein.As THIS DVT is more then 2 months old so it comes in category of CHRONIC DVT. At this stage this DVT scarred the vein of leg.There is opening of minute blood vessel channels after blockage of large veins these opening channels are not sufficient to maintain the venous outflow.This insufficiency is the reason for swelling after use of limb.

At this stage only treatment which can be helpful is ,stent surgery.In this surgeon puts a stent through the organized clot & through which blood flows start to flow again in blocked vessel.After this surgery he will be kept on anticoagulant medicines for few months.

Hope this all will help you.

With best wishes.
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Broke Tibia And Fibula, Blood Clot In Back Calf, Pain And Swelling In Foot And Calf. Time To Reduce The Blood Clot?

Hello Shelly, Welcome at HCM. I can understand your concerns. It looks from your details that your husband has deep vein thrombosis in his leg vein.As THIS DVT is more then 2 months old so it comes in category of CHRONIC DVT. At this stage this DVT scarred the vein of leg.There is opening of minute blood vessel channels after blockage of large veins these opening channels are not sufficient to maintain the venous outflow.This insufficiency is the reason for swelling after use of limb. At this stage only treatment which can be helpful is ,stent surgery.In this surgeon puts a stent through the organized clot & through which blood flows start to flow again in blocked vessel.After this surgery he will be kept on anticoagulant medicines for few months. Hope this all will help you. With best wishes.